摘要
Objective:To establish a procedure evaluation system to monitor residents’improvement in obstetrics(OB)procedures performance and skills during the training period.Methods:A web-based procedure logging and evaluation system was developed using Microsoft.net technology with a SQL server as a backend database.Residents’logged OB proce-dures were captured by the system.The OB procedures logged within 7 days were evaluated by supervising faculty using three observable outcomes(procedure competency,procedure-related medical knowledge level,and patient care).Results:Between 1 July 2005 and 30 June 2008,a total of 8543 procedures were reported,of which 1263 OB procedures were evaluated by supervising faculty.There were significant varia-tions in the number of logged procedures by gender,residency track,and US versus non-US medi-cal graduates.Approximately 84%of the procedures were performed(independently or with assis-tance)by residents.Residents’procedure skills,procedure-related medical knowledge,and patient care skills improved over time,with significant variations by gender among the three outcomes.Conclusion:The benefits of specific evaluation of procedural competence in postgraduate medical education are well established.Innovative and reliable tools to assess and monitor resi-dents’procedural skills are warranted.
